Windmill Village By The Sea Condo South Ocean Drive, #169 Jensen Beach, Florida Fax

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1 NEW OWNER APPLICATION & AGREEGMENT PLEASE REGISTER AT THE OFFICE UPON ARRIVAL Lot Number: _ Estimated Closing Date: Check one of the following: [ ] STRUCTURE ON LOT [ ] NO STRUCTURE ON LOT (see page 3) Name of Seller(s): Phone #: List names the new title will be in: Name: Name: State: Zip: Phone #: Work #: Have you ever stayed in Windmill Village before? If so, when? Lot #: Please list number of pets that will be occupying your property. Number of Pets: Note: Maximum of two customary household pets. Give names of persons, other than the above, who will occupy the unit if any: Name: Name: _ Relationship: _Relationship: Latest Business Affiliation: State: Zip: Phone #: Do you plan on renting the unit at all: [ ] YES [ ] NO Note: Tenant Application Package with appropriate fees must be submitted to the BOD for approval. 1

2 VEHICLE REGISTRATION: Vehicles to be parked on property - Parking allowed on concrete driveway only only vehicles listed are allowed permanently on Condo property. Trailers and vehicles must be maintained, in good condition and display current tags. Vehicle #1 Vehicle #2 Make: _ Model: _ Year: Color: Tag #: State: Make: Model: Year: _ Color: _ Tag #: State: Do you Currently Own your home or Rent? [ ] OWN [ ] RENT If you currently RENT List Reference: Present Landlord: State: Zip: Phone #: 2

3 If you plan on placing an RV, Boat, Travel Trailer, Park Model, Manufactured home, etc. it must be APPROVED by the Association as to the type and condition prior to be being placed on the lot. All RV s, Boats, Park Models, and Manufactured homes must have the appropriate Tags and/or County Permits. All Park Models placed on lots must be new and not used. Please refer to Windmill Village Rules and Regulations for all requirements. Please attach a photo of such vehicle(s). Boat: Trailer: RV: Year: Make: Model: Length: Color: State: Tag Number: VIN: _ Year: Make: Model: Style: _ Type: Length: Color: State: _ Tag Number: VIN: Year: Make: Model: Length: _ Type: Color: State: Tag Number: VIN: Other (specify): Year: Make: Model: Style: Type: Length: Color: State: _ Tag Number: _VIN: Buyers Signature: Date: Approved By: President Ted Ferguson Date Secretary Carol Felix Date 3

4 PLEASE INITIAL THE FOLLOWING STATEMENTS I/We have received and read and hereby agree to abide by all Condominium Documents and Rules and Regulations of Windmill Village by the Sea Condo 1. Note: If the Seller or his/her representative fails to provide you with a copy of these documents, a copy is available on the Windmill Village website at [] I/We understand that the transfer of ownership of this property cannot proceed until approved by Windmill Village by the Sea Condominium No. 1 Association, Inc. [] I/We certify under penalty of perjury that all information on this application is true. [] Any person who knowingly and with intent to defraud, files false information or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime and is reason enough to disapprove this application. Signature of Purchaser Date Signature of Purchaser Date If there are any questions about this form, please call Windmill Village by the Sea Condominium No. 1 Association, Inc. office at (772) between the hours of 11:00 a.m. and 1:00 p.m., Monday through Friday. 4

5 Certificate of Approval This is to certify that is/are approved by Windmill Village By The Sea Condominium No. 1 Association, Inc., a Corporation not for profit, organized and existing under the Laws of the State of Florida, as the Purchaser(s) of the following described property in St. Lucie County, Florida. Unit No. of Windmill Village By The Sea Condominium No. 1 Association, Inc. according to the Declaration of Condominium there of recorded in the Official Records Book 189, pages 1887 through 2007, of the Public Records of St. Lucie County, Florida together with all appurtenances to the said Unit. Such approval has been given pursuant to the provision of Section 11.2(B) of the Declaration of Condominium of such Condominium. Dated this day of _, 20. Windmill Village By The Sea Condominium No. 1 Association, Inc. By: By: President Secretary Print Name: Print Name: Witness: Witness: State of Florida County of I hereby certify that on this day before me, an officer fully authorized in the State and County aforesaid to take acknowledgements, personally appeared (President) and (Secretary) of the corporation named in the foregoing instrument, and that they acknowledged executing the same in the presence of the witnesses freely and voluntarily under authority duly vested in them by the said Corporation. Witness my hand and official Seal in the County and State aforesaid this, 20. day of Notary (Seal) 5